title: "Health in All Policies": taking stock of emerging practices to incorporate health in decision making in the United States.
abstract: OBJECTIVE
  Policies affecting the determinants of health lie largely outside the control of the health care and public health sectors. Ensuring health considerations in the formation and implementation of policies, programs, projects, and plans from all sectors, though lofty, is the overall aim of Health in All Policies. The purpose of this article was to identify categories of strategies that illustrate how Health in All Policies had been implemented in the United States.
  
  
  METHODS
  We used a 3-phased process: (1) review of the published and gray literature; (2) analysis of case examples to identify a draft framework, which included tactics and strategies for implementing Health in All Policies; and (3) vetting the draft framework through individual and group consultation.
  
  
  RESULTS
  We identify 7 interrelated strategies for incorporating health considerations into decisions and systems: (1) developing and structuring cross-sector relationships; (2) incorporating health into decision-making processes; (3) enhancing workforce capacity; (4) coordinating funding and investments; (5) integrating research, evaluation and data systems; (6) synchronizing communications and messaging; and (7) implementing accountability structures. For each strategy, we provide illustrative examples from the United States to help public health leaders identify effective tactics for Health in All Policies implementation.
  
  
  CONCLUSIONS
  Through our review, we offer a starting point for categorizing and describing the emerging practices used to work across sectors and address the determinants of health. By delineating the different types of strategies and tactics to achieve Health in All Policies, we provide public health practitioners with a "menu" of options for incorporating Health in All Policies into their work.
authors.affiliation: Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, California (Ms Gase); Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry, Atlanta, Georgia (Ms Pennotti); and Chronic Disease and Environmental Health, National Association of County and City Health Officials, Washington, District of Columbia (Dr Smith).
authors.forename: Lauren N
authors.initials: LN
authors.lastname: Gase
authors.forename: Radha
authors.initials: R
authors.lastname: Pennotti
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Smith
mesh_terms: D003657:Decision Making; D006291:Health Policy; D015980:Public Health Practice; D014481:United States